Laryngotracheal Stenosis
Conditions
Brief summary
This research is being done to determine the resistance across stenosis in the airway.
Detailed description
There is significant utility in objectively measuring airflow as subjects, undergoing endoscopic laryngeal surgery, commonly have difficulties with airflow secondary to their stenosis. Easier and quicker quantification will tailor diagnosis and treatment. In order to obtain an objective measure of airflow in these participants, we will place a 20-gauge angiocatheter needle into the airway. The catheter will be in situ for a short duration during several spontaneous and non-spontaneous breaths. This will be achieved via the existing tracheostomy stoma or percutaneously via the cricothyroid membrane. This technique is commonly used to access the muscles of the larynx, however, the primary purpose will be to measure airflow in this setting.
Interventions
Measure pressure and air flow Across Stenosis
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients 18 years or older that require outpatient endoscopic laryngeal airway surgery, in the operating room, at a tertiary academic center.
Exclusion criteria
* Pregnancy (status will be determined by a urine test as part of standard clinical care in the preoperative setting) * Patients that are not cleared for surgery by the preoperative evaluation * Patients with severe laryngotracheal stenosis * Patients who are morbidly obese (BMI \> 40) * Patients with lung disease (asthma, COPD)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pressure (cm H20) | Up to One Year | Using a pressure gauge to measure pressure at locations in the airway |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Flow Rate (L/min) | Up to One Year | using a flow sensor to measure low rate at locations in airway |
Countries
United States